ORTODONTİK OLARAK İNDÜKLENMİŞ İLTİHABİ KÖK REZORPSİYONU OLUŞUMU VE TAMİRİ

Öz

Ortodontik rezorpsiyonu, ortodontik tedavinin kaçınılmaz bir sonucudur. Farklı etyolojik faktörler eşliğinde kontrol edilemeyen ve klinik olarak dikkat çekici şiddette kök rezorpsiyonu gözlenebilmektedir. İleri rezorpsiyon gösteren dişlerin kemik içindeki stabiliteleri, çiğneme kuvvetlerine karşı fonksiyon sağlayabilmeleri ve uzun süre ağızda görev alabilmeleri klinik açıdan şüphe yaratan konulardır. Dişin sağlığını tehdit eden rezorpsiyon vakaları, araştırmacıları bu konuyla ilgili tedavi yaklaşımlarını ve klinik kullanılabilirliklerini değerlendirmeye sevketmiştir. Bu deneysel incelemelerin etkin sonuçlar sunmasında kök rezorpsiyonu oluşumu ve tamirinin hücresel mekanizmasının detaylı bir şekilde incelenmesi ve anlaşılması önemli yere sahiptir. Bu derlemede, ortodontik rezorpsiyonu oluşum ve tamir mekanizması açıklanmaya; ortodontik olarak indüklenmiş iltihabi kök rezorpsiyonunun önlenmesi ve tedavisinde önerilen klinik ve araştırılan farmakolojik yaklaşımlar özetlenmeye çalışılmıştır

Anahtar Kelimeler

• Kök rezorpsiyonu, tamir, ortodontik tedavi

The Formation and Repaır of Orthodontically Incuced Inflammatory Root Resorption

Öz

Orthodontically induced inflammatory root resorption is an inevitable consequence of orthodontic treatment. Accompanied uncontrollable and clinically suspected root resorption can be observed. The teeth showing severe resorption raise doubts in terms of stability in bone, function against the forces of chewing and long-term ability to take part in the dentition clinically. Severe root resorption cases were prompted researchers to assess clinical treatment approaches related to this issue and the applicability of them. For reporting effective results of these experimental studies, examining and understanding the cellular formation and the repair mechanisms of root resorption in details are important. The aim of this review was to explain the formation and the repair mechanisms of orthodontically induced inflammatory root resorption and to summarize recommended pharmacological approaches for prevention and treatment of orthodontically induced inflammatory root resorption

Anahtar Kelimeler

• Root resorption, repair, orthodontic treatment

Kaynakça

1. Owman-Moll P, Kurol J, Lundgren D. Repair of orthodontically induced root resorption in adolescents. Angle Orthod 1995; 65:403-408.
2. Brudvik P, Rygh P. Root resorption beneath the main hyalinized zone. Eur J Orthod 1994; 16:249- 263.
3. Barber AF, Sims M. Rapid maxillary expansion and external root resorption in man: a scanning electron microscope study. Am J Orthod 1981; 79:630-652.
4. Vardimon A, Graber T, Pitaru S. Repair process of external root resorption subsequent to palatal expansion treatment. Am J Orthod Dentofacial Orthop 1993; 103:120-130.
5. Harris DA, Jones AS, Darendeliler MA. Physical properties Volumetric analysis of root resorption craters after application of controlled intrusive light and heavy orthodontic forces: a microcomputed tomography scan study. Am J Orthod Dentofacial Orthop 2006; 130:639-647. part 8.
6. Levander E, Malmgren O, Eliasson S. Evaluation of root orthodontic treatment regimes. A clinical experimental study. Eur J Orthod 1994; 16: 223-228. relation to two
7. Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part 2. Literature review. Am J Orthod Dentofacial Orthop 1993; 103:138- 146.
8. Weltman B, Vig KW, Fields HW, Shanker S, Kaizar EE. Root resorption associated with orthodontic tooth movement: a systematic review. Am J Orthod Dentofacial Orthop 2010; 137:462-476.

9. Pizzo G LM, Guiglia R, Giuliana G. Review of the literature. Root resorption and orthodontic treatment. Minerva Stomatol 2006; 56:31-44.
10. Levander E MO. Long-term follow-up of maxillary incisors with sever apical root resorption. Eur J Orthod 2000; 22:85-92.
11. Loberg EL, Engström C. Thyroid administration to reduce root resorption. Angle Orthod 1994; 64:395 -399.
12. Abass SK, Hartsfield JK. Orthodontics and external apical root resorption. Semin Orthod 2007; 13:246 -256.
13. Igarashi K, Mitani H, Adachi H, Shinoda H. Anchorage bisphosphonate (AHBuBP) on tooth movements in rats. Am J Orthod Dentofacial Orthop 1994; 106:279-289. effects of a
14. Alatli I, Hammarström L. Root surface defects in rat molar induced by 1- hydroxyethylidene-1, 1- bisphosphonate. Acta Odontol 1996; 54:59-65.
15. Ashcraft MB, Southard KA, Tolley EA. The effect of corticosteroid-induced orthodontic tooth movement. Am J Orthod Dentofacial Orthop 1992; 102:310-319. on
16. Ong CK, Walsh LJ, Harbrow D, Taverne AA, Symons AL. Orthodontic tooth movement in the prednisolone-treated rat. Angle Orthod 2000; 70:118-125.
17. Kameyama Y NS, Maeda H, Fujita K, Takesue M, Sato E. Inhibitory effect of aspirin on root resorption induced by mechanical injury of the soft periodontal tissues in rats. J Periodontal Res 1994; 29:113-117.
18. Villa PA OG, Moncada CA, Vasseur O, et al. Pulp- dentine resorption during intrusive orthodontic tooth movement nabumetone. J Endod 2005; 31:61-66. root in patients prescribed